Can I breastfeed when I am sick?
In fact, for diseases such as upper respiratory tract infection, if the mother is found to be sick and stops breastfeeding, I don't know that the baby is already in the incubation period of infection because of close contact with her mother.
Stop breastfeeding at this time, the baby can't get antibodies against this bacteria in the mother's milk, only the disadvantages are not good. Therefore, a cold and fever can still be breastfed, but mothers should pay attention to the cleanliness of their hands and their own rest. If you can't feed yourself, you need to milk according to the usual rules to maintain lactation and avoid milk deposition.
0 1
hypertension
Studies have shown that lactating mothers secrete a lot of oxytocin during lactation, thus lowering their blood pressure. Especially, the increase of oxytocin in postpartum body will lead to the decrease of stress-related angiotensin and adrenaline hydrochloride, thus lowering blood pressure.
Whether to breastfeed is a very important factor in the risk assessment of hypertension, so mothers are encouraged to breastfeed.
Hypertension is not a taboo for breastfeeding, but lactating mothers need to strictly control their blood pressure, especially those suffering from pregnancy-induced hypertension or even eclampsia. Treatment measures should be formulated reasonably according to the mother's situation. Among the drugs for treating hypertension, labetalol is suitable for lactation.
02
diabetes
For women with gestational diabetes mellitus, breastfeeding can increase the function of islet cells and improve the process of glucose metabolism. If you can insist on exclusive breastfeeding or basic exclusive breastfeeding from the beginning of delivery, at least two months. The risk of developing type 2 diabetes will be halved within two years. The longer breastfeeding time, the lower the incidence of type 2 diabetes. Every year that women breastfeed, the risk of diabetes in their later years will decrease 15%.
There are also many studies showing that the incidence of breast-fed infants with type 1 and type 2 diabetes is significantly reduced. Because the blood sugar during pregnancy has been better managed and controlled, the adverse effects of diabetes on mother and baby have also been significantly reduced.
Because 1 type diabetes mellitus and gestational diabetes mellitus are risk factors for delayed lactation. Therefore, according to the situation of mother and baby, the blood sugar of mother and baby should be detected to avoid abnormal situation.
Insulin cannot pass through milk, so it is safe.
03
Thyroid diseases
Mothers with thyroid diseases, in most cases, can obtain stable and normal hormone levels through treatment, which has no effect on breastfeeding.
Hypothyroidism: L-thyroxine sodium can be used for treatment, which is safe for lactation. At the same time, thyroxine is a normal component of milk, and reasonable supplementation will not have adverse effects on infants.
Hyperthyroidism: At present, methimazole is the first choice of antithyroid drugs in lactation, and the dose below 20.30 mg/d is safe for both mother and baby.
04
Hepatitis B (HBV)
virus infection
For mothers infected with hepatitis B, no matter how big or small, international and domestic research results show that after the combined immunization with hepatitis B vaccine and hepatitis B immunoglobulin, the hepatitis B infection rate of breast-fed children is similar to that of artificially fed children.
Even if the mother's core antibody is positive, there is no significant difference in the infection rate of hepatitis B between breastfeeding and artificial feeding. This fully shows that artificially feeding children infected with hepatitis B mothers can not reduce the probability of mother-to-child transmission of hepatitis B, while breastfeeding only increases the chances of newborns being exposed to the virus, but does not increase the probability of infection. Therefore, the mother-to-child transmission of HBV virus has nothing to do with feeding methods.
Moreover, recent studies also show that breast milk has the function of binding to hepatitis B surface antigen, thus inhibiting the infectivity of hepatitis B virus. Mothers can breastfeed, no matter how big or small, breastfeeding should also be encouraged.
05
hepatitis C
Like hepatitis B, there is no obvious difference in infection rate between artificial feeding and breastfeeding, but because there is no specific protection against hepatitis C, it is necessary to suspend breastfeeding when nipple rupture and bleeding occur during breastfeeding.
I. Hepatitis A and E viruses (HAV hepatitis E virus)
Breastfeeding is not a route of transmission, and everyone can breastfeed.
Two. Human immunodeficiency virus infection (HIV)
Artificial feeding or exclusive breastfeeding is recommended, and mixed feeding is not recommended, which has a high infection rate.
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This article is the public education content of "China Maternal Health Action Plan" of the World Health Foundation. No words or pictures may be reproduced or stolen without permission.
"Merck Care for Mothers Action-China Maternity Care Action Plan" is a public welfare project funded by Merck, led by the World Health Foundation and strongly supported by the Clinical Standards and Norms Committee of Maternal and Child Health Care of China Maternal and Child Health Care Association. Committed to providing high-quality and accessible medical services for pregnant women in China, and reducing the pregnancy risk of high-risk (including elderly) pregnant women. "Merck Caring for Mothers" is a maternal care project that Merck has invested 500 million US dollars in the world in the past ten years, striving to realize the vision of zero maternal death.